Forms Used »Æ¹Ï¾«Æ·Hiring Process

To Be Completed by Hiring Managers

• Background Check Procedures: Please notify your candidate that Human Resources will be sending an electronic invite to the email address we have on file for them from Sterling InfoSystems. Please contact Human Resources if your candidate does not have an email address.

To Be Completed by Employees

HR will email a New Employee Package tailored to your position upon completion of a successful background check.

• (Non-employee)
• : This form must be completed in person with original, valid forms of identification. Please contact Human Resources with any questions.
• • Not sure what to claim? Try the
• City of Mount Vernon Tax Form

Enrollment/Change Forms

If you have recently become benefits eligible and need to select enrollment for all Kenyon Benefits, please select the Benefits Enrollment Package for a single, convenient form.

• Benefits Enrollment Package

Singular Enrollment Forms:

• - This form must be completed each year in order to enroll
• - For Collectively Bargained Skilled Trades
•  
• TIAA: Trusted Contact Form

 Reimbursement Request Forms

• Moving Expense Reimbursement Policy and Form
• Accounts Payable Forms
• Emeriti Claim Form
• Emeriti Automatic Premium Reimbursement Form
• Flexible Spending Claim Form - Health Care FSA
• Flexible Spending Claim Form - Dependent Care FSA
• UMR Health Member Claim Form

Review/Position Description Forms 

Other Forms

OptumRx mail order prescriptions

• Home Delivery Order Form
• Home Delivery Order Form Bilingual

Worker's Compensation Forms

Family and Medical Leave Act (FMLA) Forms

• Contact Human Resources for Eligibility, Rights, and Responsibilities
• Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

Sick, Personal, Family (SPF) Leave Forms